|
It is not required. Section I3 is used first
for codes of diagnoses not in the checkboxes and then to further clarify the
diagnoses present in the checkboxes. Since you are coding the ulcer in
Section M, if there were other diagnoses that were not coded anywhere else on
the MDS, they would take precedence in section I3. But, if you were
covering the resident for the ulcer, it would seem a good practice to have the
ICD-9 code for the ulcer in I3.
----- Original Message -----
Sent: Thursday, February 12, 2004 10:40
AM
Subject: stage 4 ulcer
| Is it necessary to put the ICD9 code for stage 4
ulcer in section I and also check it in section M? |
|
|
Melinda de la Cruz <[EMAIL PROTECTED]> wrote:
require
from the hospice nurse that a copy of the
doctor's certification be
filed in the resident's
chart
as per regulation
--- Ann
Schoeny <[EMAIL PROTECTED]>wrote:
> I JUST LOOKED AT THE
MANUAL AGAIN AND IT
> SPECIFICALLY STATES "A DOCTOR'S CERTIFICATION
THAT
> THE RESIDENT HAS6 MONTHS OR LESS TO LIVE MUST BE
>
PRESENT IN THE RECORD BEFORE CODING THE RESIDENT AS
> TERMINAL ON
THE MDS" 3-147
>
> -----Original Message-----
> From:
Ann Schoeny
> Sent: Thursday, February 12, 2004 12:28 PM
>
To: [EMAIL PROTECTED]
> Subject: RE: 6months left to
live/Hospice
>
>
> YOU NEED AN MD STATEMENT THAT 6
MONTHS OR LESS.
> MOST MDS WON'T WRITE THIS. PEOPLE STAY ON
HOSPICE
> FOR A LONG TIME, LONGER THAN 6 MONTHS AT TIMES.
>
> -----Original Message-----
> From: JenVo
[mailto:[EMAIL PROTECTED]
> Sent: Thursday, February 12, 2004
12:14 PM
> To: [EMAIL PROTECTED]
> Subject: 6months left to
live/Hospice
>
>
> Hello,
> I know this has been
on the board in the past but up
> until now it has never been an
issue with me. My DON
> believes that all Hospice residents should
be coded
> in the End stage disease/6 months or less to live
in
> J section. I told her that via the MDS manual it
> states
a doctors certification must be present in
> the chart in order for
this to be coded. and I
> haven't seen any kind of certification of
this kind
> in our hospice resident's charts. She states its
>
automatically assumed because they can't be admitted
> unless they
are deemed 6 months or less to live.
> So what does the group
think?
> Jenvo in Missouri
>
>
> As
always-Jen
> NOTICE: This communication is intended only for
the
> use of the
> individual or entity to which it is
addressed and
> may contain information that
> is privileged,
confidential and exempt from
> disclosure under applicable
>
law. If the reader of this communication is not the
> intended
recipient
> or the employee or agent responsible for
delivering
> the communication,
> you are hereby notified
that any dissemination,
> distribution or copying
> of this
communication is strictly prohibited. If
> you have received
> this communication in error, please notify me
> immediately
by replying to
> this e-mail.
>
> REMINDER: The
disclosure of medical information is
> strictly prohibited
>
by federal regulation. Unauthorized release of
> medical information
may
> result in administrative, civil and criminal
>
sanctions.
>
>
>
=====
Melinda de la
Cruz, R.N., B.S.N., RAC-C
MDS Coordinator
*******CONFIDENTIALITY
NOTICE******* This message and any attachment are confidential and may be
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